Organization

Field Name

ID

Required

KCR

Non-Definitive Surgery Code (NonDefSurgCode)

50090

yes

NAACCR

RX Summ--DX/Stg Proc

1350

yes


Field Length: 2

When therapy type = N, you may record surgical procedures that are NOT considered treatment in this field. The codes are the same for all sites:

Code

Description

01

Incisional biopsy of other than primary site leaving gross residual disease. Needle biopsy of other than primary site

02

Incisional biopsy of primary site leaving gross residual disease. Needle biopsy of primary site

03

Exploratory ONLY (no biopsy)

04

Bypass surgery (no biopsy); - ostomy ONLY (no biopsy)

05

Exploratory ONLY and incisional or needle biopsy of primary site or other sites

06

Bypass surgery and incisional or needle biopsy of primary site or other sites - ostomy ONLY and incisional or needle biopsy of primary site or other sites

07

Non-definitive surgery, NOS

  • Record the type of procedure performed as part of the initial diagnosis and workup, whether this is done at your institution or another facility.

  • If both an incisional biopsy of the primary site and an incisional biopsy of a metastatic site are done, use code 02 (Incisional biopsy of primary site).

  • For lymphomas of lymph node primary site (C77._), you may code the excision of a lymph node in this item (code 02) if it is for diagnostic and/or staging purposes.  The surgical removal of lymph nodes for eradication of the lymphoma would be coded in Surgical Procedure of Primary Site. 

  • Do not code surgical procedures which aspirate, biopsy, or remove regional lymph nodes in an effort to diagnose and/or stage disease in this data item. Use the data item Scope of Regional Lymph Node Surgery to code these procedures.

  • Do not code brushings, washings, cell aspiration, and hematologic findings (peripheral blood smears). These are not considered surgical procedures.

  • Do not code excisional biopsies with clear or microscopic margins in this data item. Use the data item Surgical Procedure of Primary Site.

  • If a needle biopsy precedes an excisional biopsy, even if no tumor is found at the time of surgery, both the needle biopsy and surgery must be recorded. Code the needle biopsy in the Non-definitive surgery field and code the excision in the Surgery at Primary Site. Surgical margins must be evaluated in order to determine if a biopsy is incisional or excisional; and margins cannot be evaluated for a needle biopsy.

  • Do not code palliative surgical procedures in this data item. Use the data item Palliative Procedure.

  • Do not record biopsies that are negative for cancer.